Organization Active NPI

South Suburban Obstetrics &

  • Obstetrics & Gynecology Physician
  • Oak Forest, IL
National Provider Identifier
1215066162
Registry record updated Dec 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
SOUTH SUBURBAN OBSTETRICS &
Practice address
5320 159TH St
Suite 102
Oak Forest, IL 60452-4705
Phone
(708) 687-7373
NPI assigned
Mar 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Sun C Kim, M.D.
Title
Physician
Phone
(708) 687-7373

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

5320 159TH St
Suite 102
Oak Forest, IL 60452-4705

Mailing address

5320 159TH St
Suite 102
Oak Forest, IL 60452-4705
Phone (708) 687-7373

National Provider Directory

National Provider Directory

Locations

5320 159th St
Ste 102
Oak Forest, IL 60452
Phone (708) 687-7373

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196985600000",
    "number": "1215066162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5320 159TH ST",
            "address_2": "SUITE 102",
            "city": "OAK FOREST",
            "state": "IL",
            "postal_code": "604524705",
            "telephone_number": "708-687-7373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5320 159TH ST",
            "address_2": "SUITE 102",
            "city": "OAK FOREST",
            "state": "IL",
            "postal_code": "604524705",
            "telephone_number": "708-687-7373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SUBURBAN OBSTETRICS &",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2007-12-07",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "SUN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "708-687-7373",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Forest, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.